Provider Demographics
NPI:1194610642
Name:NOVANEST MEDICAL LLC
Entity type:Organization
Organization Name:NOVANEST MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAJJAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:RUKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-630-1413
Mailing Address - Street 1:849 FAIRMOUNT AVE
Mailing Address - Street 2:SUITE 200 #1076
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286
Mailing Address - Country:US
Mailing Address - Phone:443-630-1413
Mailing Address - Fax:
Practice Address - Street 1:4245 OVERTON AVE
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236
Practice Address - Country:US
Practice Address - Phone:443-630-1413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies